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General NPI Number Information
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NPI Number | 1922459254
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Entity Type | Individual
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Provider Name | AMBER GRAHAM
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Gender | Female
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1947 HASS CT
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City | SANTA PAULA
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State | CA
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Zip | 93060-8027
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Country | US
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Telephone | 805-832-8777
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 TAFFRAIL LN
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City | OXNARD
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State | CA
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Zip | 93035-1682
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 262692
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 95216086
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License Number State | CA
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